| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,351 |
11,336 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,008 |
6,105 |
$487K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,325 |
2,313 |
$274K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,826 |
5,389 |
$199K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,419 |
2,396 |
$160K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
875 |
867 |
$86K |
| 99385 |
|
557 |
554 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,403 |
3,279 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,999 |
1,508 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
359 |
353 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,197 |
2,767 |
$29K |
| 99386 |
|
132 |
132 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
395 |
364 |
$16K |
| 99000 |
|
4,474 |
4,043 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
301 |
297 |
$6K |
| 81002 |
|
2,361 |
2,215 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 81025 |
|
515 |
467 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 93000 |
|
251 |
250 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
992 |
931 |
$2K |
| 72110 |
|
53 |
53 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
296 |
283 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,454 |
1,390 |
$1K |
| 73562 |
|
33 |
32 |
$837.13 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$718.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$682.13 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
549 |
409 |
$656.54 |
| 80305 |
|
63 |
43 |
$620.53 |
| 73130 |
|
27 |
26 |
$558.06 |
| 83014 |
|
195 |
189 |
$424.32 |
| 96127 |
|
125 |
121 |
$378.02 |
| 73030 |
|
14 |
13 |
$298.42 |
| 73630 |
|
14 |
14 |
$290.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
32 |
$175.08 |
| 81001 |
|
78 |
78 |
$147.36 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
61 |
60 |
$49.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
32 |
$43.84 |
| 81000 |
|
14 |
14 |
$26.64 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
81 |
81 |
$24.86 |
| 1000F |
|
524 |
515 |
$0.71 |
| 1036F |
|
626 |
620 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
96 |
94 |
$0.00 |